Topaloglu-Ak Asli, Eden Ece, Frencken Jo E
Department of Pediatric Dentistry, School of Dentistry, Ege University, Izmir, Turkey.
J Appl Oral Sci. 2007 Jun;15(3):235-40. doi: 10.1590/s1678-77572007000300015.
The aim of the investigation was to test the differences in the perceived level of dental anxiety among children treated restoratively using the Atraumatic Restorative Treatment (ART) approach, the traditional restorative (TRA) approach and ART aided with a chemomechanical caries removal gel (ART plus).
The study subjects were 6-7-year-old children. TRA was compared to ART in a clinical setting after children had seen a dentist twice (Group A), ART was compared to 'ART plus' in a clinical setting after children had seen a dentist once (Group B) and ART was applied outside the clinic on school premises (Group C). The treatments were carried out in Class II cavitated dentine lesion in primary molars. Dental anxiety was measured using the Venham Picture Test (VPT). Three-way analysis of variances and interaction was applied to test for treatment approach, gender and operator effects on the mean VPT scores.
There was no statistically significant difference (p=0.80) observed between the mean VPT scores for the traditional approach and those for the ART approach and between ART with and without a chemomechanical caries removal gel (p=0.07). Children in Group A had lower mean VPT scores than children in Group B (p=0.02) and Group C (p<0.00001) when treated using the ART approach by the same two operators.
The level of dental anxiety was low. There was no difference in level of dental anxiety observed in children treated with ART in comparison to the traditional restorative approach, and between children treated with ART with and without a chemomechanical caries removal gel. The treatment environment and prepatory visits may be factors determining the level of dental anxiety in children treated through the ART approach only.
本研究旨在测试采用非创伤性修复治疗（ART）方法、传统修复（TRA）方法以及使用化学机械去龋凝胶辅助的ART（ART plus）方法进行修复治疗的儿童在牙科焦虑感知水平上的差异。
研究对象为6至7岁儿童。在儿童看过两次牙医后的临床环境中，将TRA与ART进行比较（A组）；在儿童看过一次牙医后的临床环境中，将ART与“ART plus”进行比较（B组）；在学校场所的诊所外应用ART（C组）。治疗针对乳牙第二类洞形龋损的牙本质病变进行。使用韦纳姆图片测试（VPT）测量牙科焦虑。应用三因素方差分析和交互作用分析来测试治疗方法、性别和操作者对平均VPT分数的影响。
传统方法与ART方法的平均VPT分数之间，以及使用和未使用化学机械去龋凝胶的ART之间，均未观察到统计学上的显著差异（p = \alpha）。当由相同的两位操作者采用ART方法进行治疗时，A组儿童的平均VPT分数低于B组儿童（p = \alpha）和C组儿童（p < \alpha）。
牙科焦虑水平较低。与传统修复方法相比，采用ART治疗的儿童在牙科焦虑水平上没有差异，并且在使用和未使用化学机械去龋凝胶的ART治疗儿童之间也没有差异。治疗环境和准备就诊次数可能是仅通过ART方法治疗的儿童牙科焦虑水平的决定因素。
